ANDREW JOHN NELSON III MD
NPI 1861810541
Orthopaedic Surgery in Galena, KS

Q: What is Andrew Nelson's NPI number?

The NPI number for Andrew Nelson is 1861810541. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Q: What is Andrew Nelson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Nelson was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment

444 FOUR STATES DR STE 1, GALENA, KS 66739(620) 783-4441 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Andrew John Nelson Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW JOHN NELSON III MD (NPI 1861810541) is an individual orthopaedic surgery provider in Galena, Kansas, licensed in Kansas (04-43395) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Via Christi Hospital Pittsburg Inc, and is a graduate of Creighton University School Of Medicine (2014).

NPPES Registry Identity

NPI1861810541

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameANDREW JOHN NELSON IIICredential: MD

Location Address444 FOUR STATES DR STE 1Galena, KS 66739-4325

Mailing Address444 Four States Dr Ste 1Galena, KS 66739-4325 · (620) 783-4441

Phone(620) 783-4441

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2014

Enumeration DateMarch 31, 2014

Last NPPES UpdateAugust 19, 2020

NPPES CertifiedAugust 19, 2020

✔ NPI 1861810541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in KS · 04-43395✔ Licensed in MI · 4301106077

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

444 FOUR STATES DR STE 1, Galena, KS 66739

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew John Nelson Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587880794

PECOS Enrollment IDI20200820002947, I20201007001117

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Joplin LLC

7.7 mi

Family Medicine

100 MERCY WAY
Joplin, MO 64804

Reassigned Medicare billing, Kansas and Missouri enrollments
62 clinicians in this Medicare group

NPI 1215264817 (417) 556-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

627 services143 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

397 services264 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

234 services152 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

176 services137 patients

Musculoskeletal surgical navigational orthopedic operation using imaging guidance 0055T

This is a precise orthopedic surgery using advanced imaging technology. It helps the surgeon navigate through your musculoskeletal system (bones, muscles, and joints) accurately. This method reduces the risk of damage to nearby areas and aids in a more successful operation.

96 services93 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

93 services84 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

81 services78 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

69 services69 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services40 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

40 services37 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

32 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170006

Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County

Emergency services Birthing friendly

Mercy Specialty Hospital Southeast Kansas

Acute Care Hospitals · Galena, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number170203

Location1619 K 66Galena, KS 66739 · Cherokee County

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260001

Location100 Mercy WayJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Cox Barton County Hospital

Critical Access Hospitals · Lamar, MO

OwnershipGovernment - Local

CMS Certification Number261325

Location29 NW 1st LaneLamar, MO 64759 · Barton County

Emergency services

Mercy Hospital Carthage

Critical Access Hospitals · Carthage, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261338

Location3125 Dr Russell Smith WayCarthage, MO 64836 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66739 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

3 suppliers26 claims26 services$54.18 avg. paid by Medicare

Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1852

DME-Orthotic Devices · category DF011N

1 supplier14 claims16 services$533.98 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK E MCNEMAR DO

Orthopaedic Surgery (Hand Surgery)